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Individual

DR. MICHAEL CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
168 SPENCER ST, MANCHESTER SMILES, MANCHESTER, CT 06040-4616
(860) 670-4739
Mailing address
124 BROAD ST, STAMFORD DENTAL SPA, STAMFORD, CT 06901-2702
(860) 670-4739

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
15680
MD
1223P0700X
Prosthodontics
Primary
011277
CT

Other

Enumeration date
08/25/2014
Last updated
01/04/2016
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